Hennessey, Jason R

Hennessey, Jason R is an individual health care provider with primary practice located at 1600 S 48Th St Suite 600, Lincoln NE 68506-1275. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hennessey, Jason R can be contacted via phone (402) 483-3333.

Contact Information

Primary practice address
1600 S 48Th St Suite 600 Lincoln NE 68506-1275
Phone: (402) 483-3333
Fax: (402) 483-3395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 989 Nebraska

Profile Details

NPI number 1164530317
LBN Legal business name Hennessey, Jason R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164530317 NPPES
Nebraska Other 37394 BCBSNE
Nebraska Other 989 BCBSNE
Nebraska Other 1052768 BCBSNE

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